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Instead, they act as signaling molecules that instruct the cell's DNA to manufacture its own vast army of antioxidant and detoxification enzymes

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Other metabolites were found in different concentrations between the MGUS, NDMM, and RRMM groups such as free carnitine, acetylcarnitine, glutamate, asymmetric dimethylarginine (ADMA), and eight phosphatidylcholine species (PC), applying them as potential predictive biomarkers of disease [161]

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Biomarker analyses further suggested a trend toward reduced levels of neurotoxic proteins and improved axonal integrity, alongside statistically significant improvements in cognitive function [123]

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